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regulatory and compliance issues and considerations

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Please answer the following questions in the spaces provided (attach additional sheets, if<br />

necessary):<br />

1. Why do you want to serve as a member of the Board of Directors of the Credit Union?<br />

2. Have you ever been a member of a Board or governing body of any organization?<br />

3. What do you see as your responsibilities as a member of the Credit Union’s Board of<br />

Directors?<br />

4. What expertise <strong>and</strong> skills do you have that are related to a financial institution? How do you<br />

see these skills being of value to the Board's activities <strong>and</strong> responsibilities?<br />

5. Describe your present job. Is there a potential conflict of interest with the confidential aspects of the Credit<br />

Union <strong>and</strong> your job <strong>and</strong> other activities in which you may be involved? Explain.<br />

Pleaser Deliver this Application To:<br />

INSERT NAME OF CREDIT UNION<br />

NOMINATING COMMITTEE<br />

INSERT ADDRESS<br />

By: INSERT DATE<br />

SIGNATURES, CONSENTS AND AGREEMENTS:<br />

By signing below I agree to fully comply with all laws, rules, regulations <strong>and</strong> the Credit Union’s<br />

Bylaws, as may be amended from time to time. I certify all information provided is true <strong>and</strong><br />

correct. I consent that the Credit Union or its Board <strong>and</strong>/or Committees may undertake to verify<br />

information provided; <strong>and</strong> I authorize the Credit Union to obtain information concerning my credit<br />

history, including any credit reports <strong>and</strong> all other investigations noted in this application or<br />

otherwise as deemed appropriate by the Credit Union <strong>and</strong>/or its Board/Nominating Committee. I<br />

agree that if elected I may be removed from the Board or any Committee by a majority vote of the<br />

Board if the Board determines in its sole discretion that: (1) I have a conflict of interest in serving<br />

as a Board Member, for any reason whatsoever (<strong>and</strong> that the merest appearance of any conflict<br />

or impropriety is the st<strong>and</strong>ard that shall apply in such determinations); (2) I fail to perform my<br />

duties pursuant to the Credit Union’s Bylaws; (3) I do not in all respects comply with all laws,<br />

rules, regulations <strong>and</strong> governmental requirements; or (4) if the Board determines such action to<br />

Copyright©1994-2010 by Credit Union Resources & Educational Services, LLC. All rights reserved.<br />

Revised February 2010<br />

9

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